| Abstract | Cilj: Cilj predloženog istraživanja je utvrditi povezanost između kategorizacije bolesnika i NIHSS ljestvice u oboljelih od ishemijskog moždanog udara.
Metode: U ispitivanom razdoblju korištene su medicinska i sestrinska dokumentacija ispitanika sa medicinskom dijagnozom ishemijskog moždanog udara prema MKB 10: I63.0 – 163.3. Glavni ulazni podatci koji su prikupljeni iz dokumentacije su podatci o spolu, dobi, NIHSS ljestvici (zbroj bodova po prijamu i po otpustu bolesnika), kategorizaciji bolesnika (po prijamu i po otpustu), te podatak o duljini trajanja hospitalizacije (BO dan). Kriteriji uključenja ispitanika: oba spola, dob > 18 godina, ishemijski moždani udar. Kriteriji isključenja ispitanika: Dob < 18 godina, hemoragijski moždani udar, smrtni ishod bolesnika. Retrospektivna analiza podataka izvršena je tijekom lipnja i srpnja 2015. godine.
Rezultati: Istraživanjem smo obuhvatili 325 ispitanika liječenih u Kliničkom bolničkom centru Split na Klinici za neurologiju u razdoblju od 01.09.2014. – 31. 05. 2015. godine. Medijan životne dobi ispitanika iznosi 77 godina (min – max: 37 - 95 godina). Od ukupnog broja ispitanika bilo je 169 (52 %) muškaraca medijana životne dobi 73 godina (min – max: 37 - 90 godina) i 156 (48 %) žena medijana životne dobi 79 godina (min - max: 48 - 95 godina). Medijan NIHSS ljestvice bodova pri prijamu je za 2 veći kod žena nego u muškaraca (z = 4,45; P < 0.001). Medijan kategorizacije bolesnika pri prijamu je za 1 veći kod žena nego kod muškaraca (z = 4,7; P < 0.001). Medijan NIHSS ljestvice bodova kod otpusta je za 2 je veći kod žena nego kod muškaraca (z = 4,1; P < 0.001). Medijan kategorizacije bolesnika jednak je kod žena i muškaraca (z = 4.7; P < 0.001). Postoji statistički značajna povezanost između NIHSS ljestvice i kategorizacije bolesnika pri prijamu (ρ = 0,717; P < 0.001) i pri otpustu (ρ = 0.762; P < 0.001). Multiplom regresijskom analizom u kojoj je zavisna varijabla BO dan, a nezavisne varijable su spol, dob ispitanika, NIHSS ljestvica i kategorizacija bolesnika. Dobili smo da su navedene nezavisne varijable prediktori BO dana (F = 14,6; P < 0.001). Multipli koeficijent korelacije iznosi (R = 0.391; koeficijent determinacije R2= 0.154, a SEE = 3.8. Promjena u BO danima je za 15,4 % objašnjena sa istraživanim spolom, dobi ispitanika, NIHSS ljestvicom i kategorizacijom bolesnika
Zaključak: Kategorizacija bolesnika je u pozitivnoj korelaciji sa NIHSS ljestvicom. Korelacijskom analizom kategorizacije bolesnika i NIHSS ljestvice potvrdili smo hipotezu ovog istraživanja. |
| Abstract (english) | Aim: The aim of the submitted research is to determine the connection between the categorization of ischemic stroke patients and NIH stroke scale.
Methods: In the study period we used the medical records and nursing documentation of patients with a medical diagnosis of ischemic stroke according to ICD I63.0 - 163.3. The main input data that has been collected from documents included data of gender, age, NIH stroke scale (the score at admission and at discharge of patients), categorization of patients (at admission and at discharge), and data of the duration of hospitalization (length of stay). Respondents inclusion criteria was: both gender, age > 18 years, ischemic stroke. Respondents exclusion criteria was: Age < 18 years, hemorrhagic stroke, and death of patients. Retrospective analysis of the data was carried out in June and July of the year 2015.
Results: The research included 325 patients treated in the Clinical Hospital Centre Split at the Department of Neurology in the period from 01.09.2014. - 31. 05. 2015. The median age of respondents was 77 years (min - max: 37 - 95 years). 169 (52 %) out of the total number of respondens were men with the median age of 73 (min - max: 37 - 90 years) and 156 (48 %) were women with the median age 79 (min - max: 48 - 95 years). Median of the admission NIH stroke scale is 2 points higher for women than men (z = 4.45; P < 0.001). Median of the admission categorization is 1 point higher for women than men (z = 4.7; P < 0.001). Median of NIH stroke scale at discharge is 2 points higher for women than men (z = 4.1; P < 0.001). Median of categorization of patients at discharge was the same in men and women (z = 4.7; P < 0.001). There is a statistically significant correlation between the NIH stroke scale and categorization of patients on admission (ρ = 0.717; P < 0.001) and at discharge (ρ = 0.762; P < 0.001). Using multiple regression analysis in which the dependent variable was length of stay and the independent variables were patient gender, age, NIH stroke scale, categorization of patients we got that the independent variables are predictors for lenght of hospital stay (F = 14.6; P < 0.001). Multiple correlation coefficient is R = 0.391; coefficient of determination R2 = 0.154 and SEE = 3.8. Change in the length of hospital stay is for 15.4 % explained by the researched gender, age, NIH stroke scale and categorization of patients.
Conclusion: The categorization of patients is positively correlated with the NIH stroke scale. Using correlation analysis of categorization of patients and NIH stroke scale, we confirmed the hypothesis of this research. |
